Mikhail, Angie

Mikhail, Angie is an individual health care provider with primary practice located at 9940 Talbert Ave Suite 303, Fountain Valley CA 92708-5153. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mikhail, Angie can be contacted via phone (714) 378-5606.

Contact Information

Primary practice address
9940 Talbert Ave Suite 303 Fountain Valley CA 92708-5153
Phone: (714) 378-5606
Fax: (714) 378-5621
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN00157444 Washington
Nursing Service Providers / Registered Nurse 163W00000X 585048 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 15099 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30006992 Washington

Profile Details

NPI number 1336239409
LBN Legal business name Mikhail, Angie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Feb 19th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336239409 NPPES
Washington MEDICAID 9646597

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